| Custom Dental Care | |
|
21911 76th Ave W Ste 201 Edmonds WA 98026-7918 | |
| (425) 744-0598 | |
| Not Available |
| Full Name | Custom Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 21911 76th Ave W Ste 201, Edmonds, Washington |
| Authorized Official Name and Position | Jane Hua Hoon Yong (OWNER DENTIST) |
| Authorized Official Contact | 4257440598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Dental Care 21911 76th Ave W Ste 201 Edmonds WA 98026-7918 Ph: (425) 744-0598 | Custom Dental Care 21911 76th Ave W Ste 201 Edmonds WA 98026-7918 Ph: (425) 744-0598 |
| NPI Number | 1275471419 |
|---|---|
| Provider Enumeration Date | 03/21/2026 |
| Last Update Date | 03/21/2026 |
| Certification Date | 03/21/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275471419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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